TELEWORKER/TELECOMMUTER'S AGREEMENT

(Short Version)

[Employer] will pay for the following expenses:

• Charges for business related telephone calls

• Maintenance and repairs to [Employer] owned equipment

• List additional:        ____________________________

                                    ____________________________

                                    ____________________________

Claims will be submitted on an Expense Claim form along with receipt, bill or other verification of the expense.

[Employer] will not pay for the following expenses:

• Maintenance or repairs of privately owned equipment

• Utility costs associated with the use of the computer or occupation of the home

• Equipment supplies (these should be requisitioned through the main office).

• Travel expenses (other than authorized transit subsidies) associated with commuting to the central office.

Telecommute days are scheduled and will not be substituted without advance approval of the manager. In-Office days will be ________________________. Home Office days will be ____________________.

Teleworker/telecommuter will be available by phone during the core business hours of ____ to ____ and ____ to ____

The supervisor must approve use of sick leave, vacation, time off, or other leave credits in advance. Overtime to be worked must be approved in advance by the supervisor.

Teleworking/telecommuting is not a substitute for dependent care, and teleworker/telecommuters must make regular dependent care arrangements.

The teleworker/telecommuter has read and understands the telecommuting policies and agrees to abide by those policies.

The teleworker/telecommuter will carry out the steps needed for good information security in the home-office setting, and has a copy of the security requirements and procedures. The teleworker/telecommuter agrees to check with her/his supervisor when security matters are at issue.

This agreement expires in one year from date signed and must be renewed to continue participation in the teleworking/telecommuting program.

__________________________________ __________________________________

(Supervisor)                               (Date)

__________________________________ __________________________________

(Teleworker/telecommuter)                     (Date)